Organization Active NPI

Patrick Abiuso MD PC

  • Internal Medicine Physician
  • Cherry Hill, NJ
National Provider Identifier
1477589083
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA31840 Issued in NJ
Legal business name
PATRICK ABIUSO MD PC
Practice address
1210 Brace Rd
Suite 109
Cherry Hill, NJ 08034-3213
Phone
(856) 429-1910
Fax
(856) 429-2866
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patrick D Abiuso, MD
Title
Owner
Phone
(856) 429-1910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MA31840 NJ Primary

Addresses

Primary practice location

1210 Brace Rd
Suite 109
Cherry Hill, NJ 08034-3213

Mailing address

1210 Brace Rd
Suite 109
Cherry Hill, NJ 08034-3213
Phone (856) 429-1910

National Provider Directory

National Provider Directory

Locations

1210 Brace Rd
Ste 109
Cherry Hill, NJ 08034
Phone (609) 428-6616

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477589083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 BRACE RD",
            "address_2": "SUITE 109",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343213",
            "telephone_number": "856-429-1910",
            "fax_number": "856-429-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 BRACE RD",
            "address_2": "SUITE 109",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343213",
            "telephone_number": "856-429-1910",
            "fax_number": "856-429-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK ABIUSO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABIUSO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-429-1910",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA31840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.